Individual
DEREKIA MAHONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 S DANLEY SQ, LORAIN, OH 44052-2259
(440) 506-4233
Mailing address
931 F ST, LORAIN, OH 44052-2121
(440) 506-4233
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
401114940710
OH
Other
Enumeration date
01/22/2016
Last updated
08/10/2016
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